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Preventing Alcohol and Drug Problems in Nightlife: Challenges and Strategies

This article explores the challenges and strategies involved in preventing alcohol and drug problems in nightlife settings. It discusses the effectiveness of responsible beverage service, community mobilization, training, enforcement, policy changes, and media and PR work. The results highlight significant improvements in refusal rates for intoxicated and underage guests, as well as reductions in police-reported violence. The article also discusses the success of the "Clubs against Drugs" program, which has resulted in lower rates of drug use among staff and guests. This comprehensive approach to prevention has been disseminated in Sweden and other European countries, with promising results. The article emphasizes the importance of long-term funding, multi-component interventions, community mobilization, and collaboration between research and practice.

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Preventing Alcohol and Drug Problems in Nightlife: Challenges and Strategies

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  1. Johanna Gripenberg, Ph.D., Director at STAD STAD (Stockholm prevents alcohol and drug problems) Department of Clinical Neuroscience at the KarolinskaInstitutet, Stockholm, Sweden. Environmental Prevention in Nightlife Settings Nightlife : no risk no fun? Challenges for drug prevention and trendspotting, Lisbon Addiction, 26 okt 2017

  2. J Prevention Strategies Responsible Beverage Service • Community mobilization • Training • Enforcement “Clubs against Drugs” • Community mobilization • Training • Enforcement • Policy • Environmental changes • Media and PR work

  3. Action Group/Steering Group The County Council The Municipality (Licensing Board) The Police Authority The County Administration The organization for the hospitality industry Leading nightclub owners The Union for the hospitality industry staff

  4. Results Responsible Beverage Service Statistically significant improvement in refusal rate of alcohol service to intoxicated (5% to 77%) and underage(55% to 91%) guests 29% reduction in police-reported violence A cost-effectiveness analysis showed that for every 1 euro spent 39 euros were saved 4

  5. Results Clubs against Drugs Significantly lower rates of self-reported drug use among staff and significantly lower rates of observed drug use among guests Last year drug use (18-24 year olds) ↓ 41% to 29% More conservative attitudes towards drugs Significant increase in doormen intervention rates towards drug-intoxicated guests from 7% at baseline to 65% at follow-up

  6. Dissemination The RBS and CaD programs have been disseminated in Sweden Alcohol prevention at sporting events The RBS program is beingdisseminated in an EU-project ”STAD in Europe” Czech Republic, Germany, The Netherlands, Slovenia, Spain, the United Kingdom and Sweden 4 settings: nightlife, festivals; public hot spots and home

  7. Boosting factors • Long term funding • Multicomponent intervention • Great focus on community mobilization • Intense training (2-days) • Enforcement • Steering group (nightlife representatives) • Research and practice in close collaboration • Signed and written agreement • Institutionalized

  8. Nightlife: no risk no fun? • STADs community-based interventions seem to have reduced alcohol and club drug related problems in the nightlife setting • The most likely explanation is a combination of intervention components such as community mobilization, training and enforcement • Promising potential for club drug prevention, however it takes time to develop and implement community-based interventions

  9. stadineurope.eu

  10. Results Refusal rates to intoxicated guests

  11. Results Refusal rates to underaged guests

  12. Reported violent CrimesIntervention group (l) and control group (ê) Reduction of 29% in the intervention area Intervention Control

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